Resumo
Diagnósticos diferenciais
comuns
- Colite ulcerativa
- Colite microscópica (colite linfocítica e colite colagenosa)
- Enteropatia viral, bacteriana, parasitária, por vírus da imunodeficiência humana (HIV)
- Síndrome do intestino irritável
- Efeitos de medicamentos
- Impactação fecal
- Doença celíaca
- Doença de Crohn
- Má absorção de sais biliares
- Deficiência de enzimas da borda em escova (lactose, frutose, sucrose, isomaltose)
- Supercrescimento bacteriano no intestino delgado
- Insuficiência pancreática
- Bebidas alcoólicas
- Hipertireoidismo
- Diabetes mellitus
- Enterite/colite por radiação
- Enterite eosinofílica
- Colite isquêmica crônica
- Desvio cirúrgico do trânsito intestinal ou ressecção cirúrgica
Incomuns
- Enteropatia por anti-inflamatório não esteroidal
- Malignidade infiltrativa
- Enteropatia perdedora de proteína
- Doença do enxerto contra o hospedeiro
- Linfoma de Hodgkin
- Linfoma não Hodgkin
- Espru tropical
- Linfangiectasia/deficiência de drenagem linfática
- Hipoparatireoidismo
- Doença de Addison
- Gastrinoma
- Tumores carcinoides
- VIPomas
- Abetalipoproteinemia
- Doença hepática avançada
- Imunodeficiência comum variável
- Amiloidose
Colaboradores
Autores
Simon Campbell, MB ChB(Hons), MRCP(UK), MD(Edin.)
Consultant Gastroenterologist
Honorary Senior Lecturer
University of Manchester
Manchester
UK
Declarações
SC declares that he has no competing interests.
Rahul Kalla, MBChB, MRCP
Consultant Gastroenterologist
Royal Infirmary Edinburgh
Little France Crescent
Edinburgh
UK
Declarações
RK is the author of a reference cited in this topic. RK declares that he has no competing interests.
Agradecimentos
Dr Simon Campbell and Dr Rahul Kalla would like to gratefully acknowledge Dr Abhishek Sharma, Dr Daniel Leffler, and Dr Ciaran Kelly, the previous contributors to this topic. AS has received honoraria for educational presentations, chairing educational sessions, or advisory work from Abbvie, Vifor Pharma, Almirall, Falk, and Warner Chilcott UK. DL and CK are the authors of a number of references cited in this topic.
Revisores
John Kepros, MD
Director
Trauma Services
Assistant Professor
Michigan State University
Lansing
MI
Disclosures
JK declares that he has no competing interests.
Julian R.F. Walters, MA, MB, FRCP
Professor of Gastroenterology
Imperial College London
Hammersmith Hospital
London
UK
Disclosures
JRFW has been a member of advisory boards and has received fees for arranging an educational programme from GE Healthcare, the manufacturer of 75SeHCAT. He is a member of the Health Advisory Network for Coeliac UK.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Fernández-Bañares F, Esteve M, Salas A, et al. Systematic evaluation of the causes of chronic watery diarrhea with functional characteristics. Am J Gastroenterol. 2007;102:2520-2528. Abstract
Arasaradnam RP, Brown S, Forbes A, et al. Guidelines for the investigation of chronic diarrhoea in adults: British Society of Gastroenterology, 3rd edition. Gut. 2018 Aug;67(8):1380-99.Full text Abstract
Talley NJ. Functional Gastrointestinal Disorders in 2007 and Rome III: something new, something borrowed, something objective. Rev Gastroenterol Disord. 2007;7:97-105. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Guidelines
- AGA clinical practice guidelines on the laboratory evaluation of functional diarrhea and diarrhea-predominant irritable bowel syndrome in adults (IBS-D)
- Diarrhoea in adult cancer patients
More GuidelinesPatient information
Diarreia em crianças
Diarreia em adultos
More Patient information
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